Breast lift with implants above muscle. Can the scar positioning be moved to the crease as initially anticipated (photos)

Dear Persephone_86,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Unless you have large implants, you may have enough skin to revise your breasts and place the scars in the breast fold. Otherwise, you will need to wait and let your tissue stretch.

Hi,
I’m sorry to have had some. Trouble with the scars from your surgery. The surgery result looks excellent overall but I can see what you mean scars. It can be very difficult to get the scars exactly in the crease and they can move over time as the weight of the implants pulls on the skin. I would be concerned that trying to improve the position of the scar could affect other element of the shape of your breasts which are otherwise very good. It may be possible to improve the scar position but it might need smaller implants to allow this. That might move the positions of your nipples which look good in the photos.
I’m sorry that this is not a simple fix but I would consider this overall to be a good outcome.
Duncan MacKenzie

I'm so sorry you're not happy with your results. Every woman deserves to be happy and confident in her body.
The short answer is yes, this can be fixed. I would recommend waiting at least 1 year before your last revision. It looks like the implant is dropping below the fold. If you don't like the rippling, you can consider moving the implant to below the muscle. Two other options: changing to a smaller implant or using galaflex (a dissolvable mesh that supports the implant and prevents it from dropping below the fold). Without examining you, it's hard to tell the best option. But be assured that you have options!

Hi and welcome to our forum!
From your photos, your breasts are of ample size and are relatively symmetric, the nipples reside at the same "altitude" on the chest wall, and the mastopexy mastopexy scars are somewhat high on the undersurface of the breasts.
In our practice, we purposely place the incisions 1 cm above the crease to prevent scar exposure when reaching upward in a bathing suit. Implant size may play a role...if the implant diameter exceeds the breast diameter or if with large high profile implants, the skin overlying the implant may stretch to accommodate it, changing the position of the scar relative to the breast
There are non-invasive and invasive methods to treat an unfavorable scar. Hypertrophic scars often spontaneously regress with time, the final scar noted when the redness of inflammation has subsided (usually at 12-18 months).
The application of pressure and immobilization of a scar with silicone gel sheeting appears to hasten resolution of the process. Various creams are available, but their efficacy is questionable.
Laser treatments are available with varying degrees of success.
Injection of corticosteroids directly into the scar may flatten the scar and alleviate symptoms, but may also broaden the scar and cause pigmentary change in the skin locally. For this reason, we usually delay its use for as long as possible.
Surgical scar revision is an option to consider if regression is not noted at 18 months or so after the procedure. This is often successful in improving the appearance of the scar and will potentially lower the scar into the fold itself....but there will always be a scar.
You may consider a scar revision, and, if necessary, a smaller implant.
Best wishes